Doctoral Scholarship Application for a Doctoral Scholarship Awarded as Part of the Performance-Oriented Granting of Funding (Leistungsorientierte Mittelvergabe, LOM) in the Faculty of Medicine at Otto von Guericke University of Magdeburg 1. Application form 1.1. Details of the applicant’s doctoral studies Subject area (course): Target qualification (degree type): Thesis topic: Thesis supervisor: Hospital/Institute: Planned funding period: 1.2. Personal details Surname, first name: Born on: in (city and country): Residential address: Telephone: Fax: E-mail: Number of own children living in the same household: Other gross earnings per scholarship year: I hereby confirm that: - my details are complete and correct - I am not receiving any other funding - I am not receiving any other income than the income specified above Applicant’s signature: …………………......………………….. Date: ………………… Supervisor’s signature: ………………………………………… Date: ………………… Doctoral Scholarship 2. Summary (max. ½ page) 3. Current research status with literature 4. Applicant’s own preliminary work (previous research work, preparatory work, own publications (where applicable) and a graphic presentation of the data already collected by the candidate) 5. Presentation of the applicant’s research objectives 6. Detailed work plan and schedule 7. List of any abbreviations used in the application that are not generally used on a day-to-day basis (The answers to points 3 to 6 should take up no more than a maximum of 6 pages.) The application must comply with the following format requirements: A4, left and right margins: 2.5cm, top and bottom margins: 2cm, font: Lucida Sans, font size: 10, titles: bold. The given outline should be maintained and a sub-categorisation, e.g. 5. , 5.1, 5.1.1, etc. should be used. The text should be single spaced and justified. Lists of references and/or publications can have a smaller format, for example using font size 8 or 9. Required attachments to the application: A letter of recommendation from the applicant’s supervisor (professor/lecturer or research assistant with a teaching licence) and a statement guaranteeing that the necessary working conditions, including material resources, are available (including specification of the third-party-funded project into which the work in question has been incorporated where applicable); Applicants from subject areas other than Medicine additionally need to submit their authorisation to complete doctoral studies in the Faculty of Medicine at Otto von Guericke University of Magdeburg (Matriculation Application for Doctoral Candidates or certificate of matriculation specifying a doctorate as the candidate’s qualification objective); Medical students also need to have matriculated as doctoral students in the Faculty of Medicine at Otto von Guericke University of Magdeburg by the time they receive their doctoral scholarship at the latest (Matriculation Application for Doctoral Candidates or certificate of matriculation specifying a doctorate as the candidate’s target qualification); Curriculum vitae in tabular form; A copy of the applicant's last examination certificate (medical licensing examination, German “Diplom” degree, Master’s degree, Bachelor degree, etc.); A positive statement from the Ethics Commission for work carried out as part of clinical studies; An animal experiment licence in the case of work involving animal experiments; If children’s allowance will be claimed copies of birth certificates of the own children who have not completed the age of 12 years yet living in the same household have to be submitted;